The Education and Training of Future Physicians: Why Coaches Can't Be Judges

Cavalcanti and Detsky discuss some of the problems created by the dual role of physicians and offer potential solutions. The present method of exposing physicians-in-training to practical experience involves a hierarchical team approach with graded levels of responsibility whereby the decisions of t...

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Bibliographic Details
Published in:JAMA : the journal of the American Medical Association 2011-09, Vol.306 (9), p.993-994
Main Authors: Cavalcanti, Rodrigo B, Detsky, Allan S
Format: Article
Language:English
Subjects:
Clinical Competence - standards
Decision Making
Education, Medical - trends
Educational Measurement
Faculty, Medical
Internships
Interprofessional Relations
Learning
Medical schools
Medicine
Physicians
Professional responsibilities
Professional Role
Students
Students, Medical
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Summary:Cavalcanti and Detsky discuss some of the problems created by the dual role of physicians and offer potential solutions. The present method of exposing physicians-in-training to practical experience involves a hierarchical team approach with graded levels of responsibility whereby the decisions of the most junior members of the team are reviewed by physicians with more experience and seniority. As such, the supervising individuals are both coaches (instructing and assisting trainees in improving their clinical skills) and judges (responsible for performance assessment of the same trainees).
ISSN:0098-7484
1538-3598
DOI:10.1001/jama.2011.1232